论文部分内容阅读
[病例] 男,1岁。因4个月来呈不规则发热消瘦,面色苍白,声咳。1个月来躯干,头皮、发际等部分批反复出现皮疹,双耳流脓,腹泻,上述症状时轻时重。于10天前咳、喘加重,经胸透诊断为肺炎住当地医院。3天前(即住院后第6天)突然呼吸困难,喘憋,再次胸透发现左侧气胸,抽出气体100ml,遂急诊转入我院。查体:精神萎靡,烦躁,呼吸困难,鼻翼扇动明显。口围中度发绀,面色苍白。头皮发际,躯干部均可见淡红色及棕红色斑丘疹,其中部分已结痂,部分脱落留有色素沉着及白斑。浅在淋巴结轻度肿大,巩膜无黄染,双侧外耳道有脓性分泌物溢出。气管右移5cm,左侧胸廓隆起,呼吸运动减弱,叩诊鼓
[Case] Male, 1 year old. Because 4 months was irregular fever thin, pale, cough. One month to the trunk, scalp, hair and other parts of the repeated batch rash, suppurative ear, diarrhea, light weight when the above symptoms. 10 days ago, cough, wheezing, pneumothorax diagnosed by the chest through the local hospital. 3 days ago (ie, 6 days after hospitalization) suddenly breathing difficulties, wheezing, chest chest again found the left pneumothorax, out of gas 100ml, then emergency department transferred to our hospital. Physical examination: apathetic, irritability, difficulty breathing, alarming alarming. Mouth moderate cyanosis, pale. Scalp hair, torso are visible pink and reddish brown pimples, some of which have been crusted, part of the pigmentation and leucorrhea left. Shallow mild swelling in lymph nodes, sclera no yellow dye, purulent discharge of bilateral external auditory canal. Right tracheal 5cm, left thoracic uplift, respiratory movement weakened, percussion drum